Indicaciones de oxigenación hiperbárica

Condiciones clínicas donde la oxigenación hiperbárica ha mostrado su beneficio (basadas en la evidencia y estudios clínicos) 

Toxic:

(1) carbon monoxide poisoning

(2) severe cyanide poisoning

 

Infectious:

(1) Clostridial myonecrosis (gas gangrene)

(2) necrotizing soft tissue infections

(3) refractory osteomyelitis

(4) intracranial abscess

 

Trauma and environmental injury:

(1) acute traumatic ischemia, including crush injury and the compartment syndrome

(2) severe thermal burns

(3) decompression sickness

(4) air or gas embolism

(5) severe blood loss anemia

 

Radiation injury:

(1) radiation-induced osteonecrosis

(2) radiation-induced skin ulcerations

 

Skin ulcerations and wounds:

(1) problematic pressure, ischemic or diabetic skin ulcers

(2) skin flaps or skin grafts with marginal circulation

 

Hyperbaric oxygen therapy has been used experimentally or in extremis for other conditions.

References:Jain KK. Chapter 8: Indications, contraindications, and complications of HBO therapy. pages 73-78 (Table 8.1, page 74). IN: Jain KK (editor). Textbook of Hyperbaric Medicine. 4th Edition. Hogrefe & Huber. 2004